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A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a rural area of The Gambia, West Africa2. Mortality and morbidity from malaria in the study area

A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a... Abstract Background data on child mortality and morbidity from malaria were obtained in a new study area in the centre of The Gambia, south of the river, chosen as the site for a malaria intervention trial. Infant and child mortality rates were 120 and 41 per 1000 respectively. Results obtained using post-mortem questionnaires suggested that malaria was an uncommon cause of death in children under the age of one year but responsible for about 40% of deaths in children aged 1–4 years. Ninety-two percent of deaths attributed to malaria occurred during or immediately after the rainy season. Parasite and spleen rates in children aged 1–5 years at the end of the malaria transmission season were 66% and 64% respectively. Malariometric indices were similar in primary health care (PHC) villages, selected as sites for an intervention with insecticide-treated bed nets and targeted chemoprophylaxis, and in smaller, non-PHC, control villages. References Aikins et al., 1993 Aikins M.K. , Pickering H. , Alonso P.L. , D'Alessandro U. , Todd J. , Greenwood B.M. . A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a rural area of The Gambia, West Africa. 4. Perceptions of the causes of malaria and of its treatment and prevention in the study area , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1993 , vol. 87 supplement 2 (pg. 25 - 30 ) Google Scholar Crossref Search ADS PubMed WorldCat Blacker et al., 1985 Blacker J.G.C. , Hill A.G. , Timaeus I.M. . Age patterns of mortality in Africa: an examination of recent evidence , Proceedings of the IUSSP General Conference, Florence , 1985 , vol. vol. 2 Liège, Belgium International Union for the Scientific Study of Population (pg. 287 - 298 ) Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC Bradley et al., 1986 Bradley A.K. , Greenwood B.M. , Greenwood A.M. , Marsh K. , Byass P. , Tulloch S. , Hayes R. . Bed-nets (mosquito-nets) and morbidity from malaria , Lancet , 1986 , vol. ii (pg. 204 - 207 ) Google Scholar Crossref Search ADS WorldCat Greenwood, 1989 Greenwood B.M. . The microepidemiology of malaria and its importance to malaria control , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1989 , vol. 83 (pg. 25 - 29 ) supplement Google Scholar Crossref Search ADS PubMed WorldCat Greenwood and Armstrong, 1991 Greenwood B.M. , Armstrong J.R.M. . Comparison of two simple methods for determining malaria parasite density , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1991 , vol. 85 (pg. 186 - 188 ) Google Scholar Crossref Search ADS PubMed WorldCat Greenwood and Pickering, 1993 Greenwood B.M. , Pickering H. . A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a rural area of The Gambia, West Africa. 1. A review of the epidemiology and control of malaria in The Gambia, West Africa , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1993 , vol. 87 supplement 2 (pg. 3 - 11 ) Google Scholar Crossref Search ADS PubMed WorldCat Greenwood et al., 1987 Greenwood B.M. , Bradley A.K. , Greenwood A.M. , Byass P. , Jammeh K. , Marsh K. , Tulloch S. , Oldfield F.S.J. , Hayes R.J. . Mortality and morbidity from malaria in a rural area of The Gambia, West Africa , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1987 , vol. 81 (pg. 478 - 486 ) Google Scholar Crossref Search ADS PubMed WorldCat Greenwood et al., 1988 Greenwood B.M. , Greenwood A.M. , Bradley A.K. , Snow R.W. , Byass P. , Hayes R.J. , N'Jie A.B.H. . Comparison of two drug strategies for control of malaria within a primary health care programme in The Gambia, West Africa , Lancet , 1988 , vol. i (pg. 1121 - 1127 ) Google Scholar Crossref Search ADS WorldCat This content is only available as a PDF. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Transactions of The Royal Society of Tropical Medicine and Hygiene Oxford University Press

A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a rural area of The Gambia, West Africa2. Mortality and morbidity from malaria in the study area

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References (93)

Publisher
Oxford University Press
ISSN
0035-9203
eISSN
1878-3503
DOI
10.1016/0035-9203(93)90170-U
Publisher site
See Article on Publisher Site

Abstract

Abstract Background data on child mortality and morbidity from malaria were obtained in a new study area in the centre of The Gambia, south of the river, chosen as the site for a malaria intervention trial. Infant and child mortality rates were 120 and 41 per 1000 respectively. Results obtained using post-mortem questionnaires suggested that malaria was an uncommon cause of death in children under the age of one year but responsible for about 40% of deaths in children aged 1–4 years. Ninety-two percent of deaths attributed to malaria occurred during or immediately after the rainy season. Parasite and spleen rates in children aged 1–5 years at the end of the malaria transmission season were 66% and 64% respectively. Malariometric indices were similar in primary health care (PHC) villages, selected as sites for an intervention with insecticide-treated bed nets and targeted chemoprophylaxis, and in smaller, non-PHC, control villages. References Aikins et al., 1993 Aikins M.K. , Pickering H. , Alonso P.L. , D'Alessandro U. , Todd J. , Greenwood B.M. . A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a rural area of The Gambia, West Africa. 4. Perceptions of the causes of malaria and of its treatment and prevention in the study area , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1993 , vol. 87 supplement 2 (pg. 25 - 30 ) Google Scholar Crossref Search ADS PubMed WorldCat Blacker et al., 1985 Blacker J.G.C. , Hill A.G. , Timaeus I.M. . Age patterns of mortality in Africa: an examination of recent evidence , Proceedings of the IUSSP General Conference, Florence , 1985 , vol. vol. 2 Liège, Belgium International Union for the Scientific Study of Population (pg. 287 - 298 ) Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC Bradley et al., 1986 Bradley A.K. , Greenwood B.M. , Greenwood A.M. , Marsh K. , Byass P. , Tulloch S. , Hayes R. . Bed-nets (mosquito-nets) and morbidity from malaria , Lancet , 1986 , vol. ii (pg. 204 - 207 ) Google Scholar Crossref Search ADS WorldCat Greenwood, 1989 Greenwood B.M. . The microepidemiology of malaria and its importance to malaria control , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1989 , vol. 83 (pg. 25 - 29 ) supplement Google Scholar Crossref Search ADS PubMed WorldCat Greenwood and Armstrong, 1991 Greenwood B.M. , Armstrong J.R.M. . Comparison of two simple methods for determining malaria parasite density , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1991 , vol. 85 (pg. 186 - 188 ) Google Scholar Crossref Search ADS PubMed WorldCat Greenwood and Pickering, 1993 Greenwood B.M. , Pickering H. . A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a rural area of The Gambia, West Africa. 1. A review of the epidemiology and control of malaria in The Gambia, West Africa , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1993 , vol. 87 supplement 2 (pg. 3 - 11 ) Google Scholar Crossref Search ADS PubMed WorldCat Greenwood et al., 1987 Greenwood B.M. , Bradley A.K. , Greenwood A.M. , Byass P. , Jammeh K. , Marsh K. , Tulloch S. , Oldfield F.S.J. , Hayes R.J. . Mortality and morbidity from malaria in a rural area of The Gambia, West Africa , Transactions of the Royal Society of Tropical Medicine and Hygiene , 1987 , vol. 81 (pg. 478 - 486 ) Google Scholar Crossref Search ADS PubMed WorldCat Greenwood et al., 1988 Greenwood B.M. , Greenwood A.M. , Bradley A.K. , Snow R.W. , Byass P. , Hayes R.J. , N'Jie A.B.H. . Comparison of two drug strategies for control of malaria within a primary health care programme in The Gambia, West Africa , Lancet , 1988 , vol. i (pg. 1121 - 1127 ) Google Scholar Crossref Search ADS WorldCat This content is only available as a PDF.

Journal

Transactions of The Royal Society of Tropical Medicine and Hygiene – Oxford University Press

Published: Jun 1, 1993

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